Lacey Potter
Peer Specialist · Ada, OK
NPI number
1114448917
Practice location
15881 County Road 3590Ada, OK 74820-0483
- Phone
- (580) 235-3138
NPI record
- NPI
- 1114448917
- Entity type
- Individual (Type 1)
- Enumeration date
- June 30, 2017
- Last updated
- June 30, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
PO Box 715Ada, OK 74821-0715
- Phone
- (580) 235-3138
About Lacey Potter
Lacey Potter is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 15881 County Road 3590, Ada, OK 74820-0483. The NPI number 1114448917 was assigned on June 30, 2017 and the record was last updated on June 30, 2017.
Frequently asked questions
What is the NPI number of Lacey Potter?
The NPI number is 1114448917.
What is the phone number of Lacey Potter?
The phone number listed for the practice location is (580) 235-3138.
Where is Lacey Potter located?
15881 County Road 3590, Ada, OK 74820-0483.
What is the taxonomy code for Lacey Potter?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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